The client's nursing diagnosis is disturbed sleep pattern related to anxiety. The desired outcome is

that client will sleep for a minimum of 5 hours nightly by October 31 .

On November 1 review of
sleep data for the 6 days of hospitalization shows the client sleeps an average of 4 hours nightly and
takes a 2-hour afternoon nap. The outcome can be evaluated as
a. consistently demonstrated.
b. often demonstrated.
c. sometimes demonstrated.
d. never demonstrated.


ANS: D
Although the client is sleeping 6 hours daily, the total is not in one uninterrupted session at night.
Therefore the outcome must be evaluated as never demonstrated.

Nursing

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An 11-year-old has Asperger's disorder. Which assessment finding supports this diagnosis?

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A patient with AIDS is admitted to the hospital with AIDS-related wasting syndrome and AIDS-related anorexia. What drug has been found to promote significant weight gain in AIDS patients by increasing body fat stores?

A) Advera B) Momordicacharantia C) Megestrol D) Ranitidine

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A psychiatric nurse best implements the ethical principle of autonomy when he or she:

a. intervenes when a self-mutilating patient attempts to harm self. b. stays with a patient who is demonstrating a high level of anxiety. c. suggests that two patients who are fighting be restricted to the unit. d. explores alternative solutions with a patient, who then makes a choice.

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A child diagnosed with aplastic anemia is admitted to the hospital. The parents ask the nurse what aplastic anemia is. Which response by the nurse is accurate?

1. "Aplastic anemia causes a proliferation of white blood cells." 2. "Aplastic anemia is characterized by abnormally shaped red blood cells." 3. "Aplastic anemia is caused the bone marrow producing inadequate cells." 4. "Aplastic anemia is a disorder that occurs after a viral illness."

Nursing